Extracorporal Shockwave Therapy (ESWT) is a highly effective treatment modality used to treat a range of lower limb musculoskeletal injuries. It is cost effective, non-invasive and relatively pain free.

How does Extracorporeal Shockwave Therapy work

Extracorporeal Shockwave Therapy (ESWT) works by reactivating the local tissue repair response which stimulates certain components within our body, allowing us to heal.

The proposed benefits of Extracorporeal Shockwave Therapy include:

Increase in vascular supply to the tissue

Formation of new blood vessels

Improved tissue healing through reduced inflammation and production of fibroblasts (responsible for repairing tendons)

Immediately reduces pain through stimulation of the nerve pathways

The combination of these creates an ideal healing environment.

Common conditions treated

ESWT is used to treat a range of musculoskeletal problems, including Plantar Fasciopathy (heel pain), Achilles Tendinopathy and Medial Tibial Stress Syndrome (shin splints). It is employed particularly when conservative management has not been effective.

How treatment works

Extracorporeal Shockwave Therapy (ESWT) is non-invasive, relatively pain free, requires no anaesthesia and has no side effects. Patients will generally require between 4-6 visits, spaced around 1 week apart and depending upon the condition may be able to continue with normal levels of activity. No referral is required.

Patients will also generally receive some ‘home-work’ in the form of strengthening and stretching which will improve the effectiveness of treatment.

Studies

Extracorporeal Shockwave Therapy (ESWT) has been studied extensively, with plenty of good quality evidence supporting the treatment modality. The most recent meta-analysis performed in August last year showed that compared to a placebo, ESWT can reduce first step pain by 60% on average.